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Author Yoshida, Osamu|
Published Date 2013-03-25
Publication Title
Content Type Thesis or Dissertation
FullText URL K0004671.pdf K0004671_honbun.pdf
Author Mikawa, Yasuhito|
Published Date 2013-03-25
Content Type Thesis or Dissertation
Grant Number 甲第4671号
Granted Date 2013-03-25
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language Japanese English
Author 岩中 貴裕|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Journal Article
Author 松浦 芙佐子|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Journal Article
Author 伊野家 伸一|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Journal Article
Author 石田 美佐江|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Journal Article
Author Nasu, Masako|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Journal Article
Author 剱持 淑|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Journal Article
Author Kuroki, Misao| Ariumi, Yasuo| Hijikata, Makoto| Ikeda, Masanori| Dansako, Hiromichi| Wakita, Takaji| Shimotohno, Kunitada| Kato, Nobuyuki|
Published Date 2013-01-11
Publication Title Biochemical and Biophysical Research Communications
Volume volume430
Issue issue2
Content Type Journal Article
Author Endo, Yasumasa| Tomofuji, Takaaki| Ekuni, Daisuke| Azuma, Tetsuji| Irie, Koichiro| Kasuyama, Kenta| Morita, Manabu|
Published Date 2013-01
Publication Title Journal of Clinical Periodontology
Volume volume40
Issue issue1
Content Type Journal Article
Author Yamaneki, Kanako|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Journal Article
Author 岡山英文学会|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Others
Author 岡山英文学会|
Published Date 2013-03-31
Publication Title Persica
Volume volume40
Content Type Others
Author Kubo, Toshio| Takigawa, Nagio| Osawa, Masahiro| Harada, Daijiro| Ninomiya, Takashi| Ochi, Nobuaki| Ichihara, Eiki| Yamane, Hiromichi| Tanimoto, Mitsune| Kiura, Katsuyuki|
Published Date 2013-01
Publication Title Cancer Science
Volume volume104
Issue issue1
Content Type Journal Article
Author Yoshitaka, Shiho| Egi, Moritoki| Morimatsu, Hiroshi| Kanazawa, Tomoyuki| Toda, Yuichiro| Morita, Kiyoshi|
Published Date 2013-06
Publication Title Journal of Critical Care
Volume volume28
Issue issue3
Content Type Journal Article
Author Maruo, Tomoko| Ichikawa, Tomotsugu| Kanzaki, Hirotaka| Inoue, Satoshi| Kurozumi, Kazuhiko| Onishi, Manabu| Yoshida, Koichi| Kambara, Hirokazu| Ouchida, Mamoru| Shimizu, Kenji| Tamaru, Seiji| Chiocca, E. Antonio| Date, Isao|
Published Date 2013-06
Publication Title Neuropathology
Volume volume33
Issue issue3
Content Type Journal Article
Author Honda, Yasuko|
Published Date 2013-03-29
Publication Title 龍谷大学経済学論集
Volume volume52
Issue issue3
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/AMO/50414
FullText URL 67_3_197.pdf
Author Yasuhara, Takao| Takahashi, Yuichi| Kumamoto, Shinji| Nakahara, Masayuki| Yoneda, Kotaro| Niimura, Tatsuomi| Tanoue, Takashi| Kusumegi, Akira| Sennari, Takashi| Hijikata, Yasukazu| Manabe, Hiroaki| Miyoshi, Yasuyuki| Date, Isao| Ogawa, Koichi| Nishida, Kenki|
Abstract Some cases with lumbar degenerative diseases require multi-level fusion surgeries. At our institute, 27 and 4 procedures of 3- and 4-level fusion were performed out of a total 672 posterior lumbar interfusions (PLIFs) on patients with lumbar degenerative disease from 2005 to 2010. We present 2 osteoporotic patients who developed proximal vertebral body fracture after 4-level fusion. Both cases presented with gait disability for leg pain by degenerative lumbar scoliosis and canal stenosis at the levels of L1/2-4/5. After 4-level fusion using L1 as the upper instrumented vertebra, proximal vertebral body fractures were found along with the right pedicle fractures of L1 in both cases. One of these patients, aged 82 years, was treated as an outpatient using a hard corset for 24 months, but the fractures were exacerbated over time. In the other patient, posterolateral fusion was extended from Th10 to L5. Both patients can walk alone and have been thoroughly followed up. In both cases, the fracture of the right L1 pedicle might be related to the subsequent fractures and fusion failure. In consideration of multi-level fusion, L1 should be avoided as an upper instrumented vertebra to prevent junctional kyphosis, especially in cases with osteoporosis and flat back posture.
Keywords degenerative lumbar scoliosis osteoporosis pedicle fracture posterior lumbar interbody fusion vertebral body fracture
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2013-06
Volume volume67
Issue issue3
Publisher Okayama University Medical School
Start Page 197
End Page 202
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 23804144
Web of Science KeyUT 000320747900010
JaLCDOI 10.18926/AMO/50413
FullText URL 67_3_191.pdf
Author Binti Md Nor, Nurliza| Kusumoto, Tomoyuki| Inoue, Seiji| Nakamura, Keiichiro| Seki, Noriko| Hongo, Atsushi| Kodama, Junichi| Hiramatsu, Yuji|
Abstract Struma ovarii is a rare neoplasm that accounts for approximately 0.3オ of ovarian tumors. Due to its ultrasound morphology, which is quite similar to that of malignant ovarian carcinoma, most struma ovarii cases are open operated with laparotomy rather than laparoscopy. We present 3 cases of struma ovarii, which were diagnosed preoperatively by imaging studies and removed by laparoscopic surgery. All patients were premenopausal women between ages 31‒50. The magnetic resonance imaging (MRI) findings were complex masses composed of multiple cysts and solid components with T2-hypointense regions as well as multiple T1-hyperintense cystic areas, findings that are typical for struma ovarii. A combination of plain computed tomography (CT), positron emission tomography (PET)-CT, and scintigraphy was useful for diagnosis. Laboratory examination revealed elevated serum thyroglobulin, which led to the diagnosis of struma ovarii. Laparoscopic surgeries were performed without rupturing the tumors. Although it has been difficult to differentiate between struma ovarii and malignant tumors by conventional methods, recently MRI techniques appear make it possible to diagnose struma ovarii preoperatively from the abovementioned imaging characteristic, together with laboratory data. As for treatment, we think laparoscopy could be successful for struma ovarii, but the surgeon must be careful not to rupture the tumor intra-abdominally in order to prevent dissemination, which could lead to malignancy.
Keywords struma ovarii ovarian neoplasms MRI laparoscopic surgery
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2013-06
Volume volume67
Issue issue3
Publisher Okayama University Medical School
Start Page 191
End Page 195
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 23804143
Web of Science KeyUT 000320747900009
JaLCDOI 10.18926/AMO/50412
FullText URL 67_3_185.pdf
Author Misawa, Haruo| Tanaka, Masato| Sugimoto, Yoshihisa| Koshimune, Kouichiro| Ozaki, Toshifumi|
Abstract Cervical misalignment after upper cervical fusion including the occipital bone may cause trismus or dysphagia, because the occipito-atlanto joint is associated with most of the flex and extended motion of the cervical spine. There are no reports of dysphagia and trismus after C1-2 fusion. The purpose of this paper is to demonstrate the potential risk of dysphagia and trismus even after upper cervical short fusion without the occipital bone. The patient was a 69-year-old man with myelopathy caused by os odontoideum and Klippel-Feil syndrome, who developed dysphagia and trismus immediately after C1-2 fusion and C3-6 laminoplasty. Radiographs and CT revealed that his neck posture was extended, but his symptoms still existed a week after surgery. The fixation angle was hyperextended 12 days after the first surgery. His symptoms disappeared immediately after revision surgery. The fixation in the neck-flexed position is thought to be the main cause of the patientʼs post-operative dysphagia and trismus. Dysphagia and trismus may occur even after short upper cervical fusion without the occipital bone or cervical fusion in the neck-extended position. The pre-operative cervical alignment and range of motion of each segment should be thoroughly evaluated.
Keywords dysphagia trismus os odontoid Klippel-Feil syndrome atlantoaxial posterior fusion
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2013-06
Volume volume67
Issue issue3
Publisher Okayama University Medical School
Start Page 185
End Page 190
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 23804142
Web of Science KeyUT 000320747900008